What Does it Take to Provide Top Surgical Care in BC?

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This presentation was delivered by Doug Cochrane, chair of the BC Patient Safety & Quality Council, at the BC Surgical Quality Action Network's 2013 annual meeting.

Visit http://bcpsqc.ca/clinical-improvement/sqan/ to learn more about the event

Published in: Health & Medicine, Business
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What Does it Take to Provide Top Surgical Care in BC?

  1. 1. What Does It Take To Provide The Best Surgical Care In BC
  2. 2. What do we need today ?
  3. 3. What do we need today ? • • • • • • Surgical skill and judgment Skilled anesthesia Tools and equipment Access to the OR Care for recovery Suitable patients
  4. 4. While these qualities are necessary, they are not sufficient. The next step for BC is developing reliable and resilient teams
  5. 5. What is a “Team”? Team members have specific roles, perform specific tasks, and interact or coordinate to achieve a common goal or outcome Teams make decisions Teams possess specialized knowledge and skills and often function under conditions of high workload Teams embody a collective action arising out of task interdependency Teams make fewer mistakes than do individuals, and this is especially true when every member of a team is as aware of their teammates’ responsibilities as they are their own.
  6. 6. The Nature of Reliable Teamwork (Wilson et al 2005) Requires a willingness to cooperate in the service of a shared goal Effective communications Shared acknowledgement of each participating member’s roles and abilities. – teamwork-related knowledge – teamwork-related skills – teamwork-related attitudes.
  7. 7. Team Learning Pisano, Bohmer, Edmondson Management Science 47:752-768 2001 [Surgical] team learning processes allow some organizations to benefit more that others from equivalent levels of expertise
  8. 8. Behavioral Markers of Surgical Excellence Teams (Carthey et al, 2003) Experience Technical Skill Redundancy Anticipation Team Leadership Coordination Communication
  9. 9. Dealing with Unexpected Events (Weick and Sutcliffe) Better able to notice the unexpected in the making and halt its progression If cannot halt – then contain If not contain, then focus on swift restoration based on resilience Act mindfully

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